PERFORMANCE: A strategic health authority report said there was evidence of a “lack of trust” between GPs and trusts in outer north east London, which meant “some GPs were now approaching trust consultants directly as a result”.

STRUCTURE: The strategic health authority NHS London will consider the full business case for the merger of Barts and the London, Whipps Cross and Newham University hospitals at an extraordinary meeting on Tuesday.

By now everyone in London’s heard of the SaFE review. NHS London commissioned consultants McKinsey to put together the Safe and Financially Effective paper and it has sat on desks for a few weeks at Southside. It’s explosive.